NH MPJE flashcards

33 cards. Read the term and the definition here. The deck at the top of this page is optional.

Practice of pharmacy definition

The statutory scope covering dispensing, compounding, drug utilization review, counseling, and administration of drugs and vaccines under a license; activities outside this definition require separate authority.

Pharmacist-in-charge duties

The PIC is responsible for overall pharmacy compliance, including staffing, security, recordkeeping, sanitation, and ensuring that only licensed or registered personnel perform pharmacy functions.

Pharmacy intern registration

Interns must be enrolled in or graduates of an accredited pharmacy program, registered with the Board, and supervised by a preceptor who is accountable for the intern's acts.

Nonresident pharmacy registration

A pharmacy located outside NH that ships prescriptions into the state must register with the Board and comply with NH labeling, counseling, and recordkeeping requirements.

Pharmacy permit transferability

A pharmacy permit is issued for a specific location and owner and is not transferable; a change of ownership, location, or name requires Board notification or a new permit.

Prescription required elements

A valid prescription must include the patient's name and address, drug, strength, dosage form, quantity, directions, prescriber information, DEA number when controlled, and date of issuance.

Refill limits by schedule

Schedule II prescriptions cannot be refilled; Schedule III and IV prescriptions may be refilled up to five times within six months of the date of issuance.

Prescription transfer rules

Noncontrolled and Schedule III-V prescriptions may be transferred between pharmacies; Schedule II prescriptions generally cannot be transferred for refill.

Generic substitution requirement

A therapeutically equivalent generic may be dispensed unless the prescriber writes dispense as written or the patient refuses; the substitution must be recorded and the patient informed.

Prescription label contents

Labels must show pharmacy name and address, prescription number, date, patient name, directions, drug name and strength, quantity, prescriber, and required cautionary statements.

Patient counseling obligation

Counseling must be offered on every new prescription and on refills when requested, covering directions, storage, interactions, side effects, and missed-dose guidance.

Emergency oral Schedule II order

An emergency oral Schedule II order must be followed by a written prescription within seven days; the pharmacist must document the emergency and the prescriber's information.

Biennial inventory requirement

A registrant must take an inventory of controlled substances every two years; Schedule II counts are exact, and Schedule III-V counts may be estimated.

Controlled substance record retention

Controlled substance records must be kept for at least two years, be readily retrievable, and Schedule II records must be maintained separately from other records.

Theft or loss reporting

Loss or theft of controlled substances must be reported to DEA in writing within one business day of discovery and to the NH Board, with an internal investigation.

Corresponding responsibility

A pharmacist must not fill a controlled substance prescription that lacks a legitimate medical purpose, even if the prescription is technically complete and valid on its face.

PMP review requirement

Pharmacists must review the state prescription monitoring program before dispensing controlled substances as required by NH law and must document that review.

Pharmacy security requirement

The prescription area must be locked when a pharmacist is not on duty; drugs must be stored under manufacturer-specified conditions with monitored temperature logs.

USP 797 sterile compounding

Sterile compounding requires cleanroom classification, environmental monitoring, personnel training, media fill testing, and gloved fingertip testing under USP standards.

USP 795 nonsterile compounding

Nonsterile compounding requires master formulation records, compounding records, ingredient verification, and beyond-use dating based on stability and preservative content.

USP 800 hazardous drugs

Hazardous drug handling requires negative pressure rooms, closed system transfer devices, personal protective equipment, and documented spill procedures.

Automated dispensing oversight

Automated dispensing systems must be validated, have documented policies, and remain under pharmacist oversight; the pharmacist is responsible for the accuracy of the system's output.

Medication error definition

Any preventable event that may cause or lead to inappropriate medication use or patient harm; errors must be documented and reviewed regardless of whether harm occurred.

Continuous quality improvement cycle

Identify errors, analyze root causes, implement changes, and monitor outcomes; the cycle must be documented and reviewed at least annually by the pharmacist-in-charge.

Prospective drug utilization review

Before dispensing, the pharmacist screens for interactions, duplications, contraindications, and dosing errors; findings must be resolved and documented.

High-alert medication double check

High-alert medications, look-alike/sound-alike names, and pediatric doses require independent double checks and targeted error-prevention safeguards.

Grounds for discipline

Unprofessional conduct, practicing beyond scope, dispensing errors that endanger patients, fraud, and practicing while impaired are grounds for Board discipline.

Due process in Board actions

The Board must provide notice of charges, an opportunity to respond, and a hearing; decisions are subject to appeal under the state administrative procedure act.

Impaired practice program

Impaired practice is handled through a diversion or monitoring program; self-reporting may mitigate discipline, while failure to report an impaired colleague may be a violation.

Unprofessional conduct examples

Falsifying records, dispensing without a valid prescription, breaching patient confidentiality, and refusing to cooperate with a Board investigation are unprofessional conduct.

Pharmacist immunization authority

Pharmacists may administer vaccines and certain medications under a protocol or standing order with documented training and reporting to the state immunization registry.

Collaborative practice agreement

A written agreement with a prescriber allows pharmacists to manage drug therapy; it must specify scope, protocols, and communication requirements.

Naloxone standing order

Pharmacists may dispense naloxone under a standing order or protocol; they must provide counseling and document the dispensation.